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Anna Nicole Smith — Part 1
Page 3
3 / 35
FD-340 (7-19-00)
Universal Case File Number ~ LA ~ VA 3 >) 2D5- — [
Field Office Acquiring Evidence DE
Serial # of Originating Document
Date Received \C »f Ll {¢ MY
», From FOX -O€.
(Name of Contributor)
(Address of Contributor)
(City and State)
ToBeRetuned C1 Yes EI No
Receipt Giver im No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (€)
Federal Rules of Criminal Procedure
; , oO Yes EYNo
Federal Taxpayer Information (FTI) »
Dye no
Title:
Reference:
(Communication Enclosing Material)
Description: [] Original notesre interview of
cewinac eiswey, ME aos, ReccRpS
SCE IMAGE RE Roe
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